Provider Demographics
NPI:1871808964
Name:MORGAN, ABIGAIL A (MT-BC, LPC)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MT-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16693-1209
Mailing Address - Country:US
Mailing Address - Phone:814-407-4764
Mailing Address - Fax:814-407-4764
Practice Address - Street 1:411 W 2ND ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:PA
Practice Address - Zip Code:16693-1209
Practice Address - Country:US
Practice Address - Phone:814-407-4764
Practice Address - Fax:814-407-4764
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225A00000X.225A00000X
PAPC007860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist